Nursing Jobs in Sienna, TX
$7,532.75 - $8,886.16 / month
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Registered Nurse Case Manager Job Title: Nurse III RNCM Agency: Health & Human Services Comm Department: Four Rivers - Nursing Posting Number: 19770 Closing Date: 11/03/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON Other Locations: Richmond MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The RN Case Manager performs highly complex professional nursing work for individuals at the SSLC, including individuals with highly specialized medical and behavioral health needs. Provides, evaluates, and coordinates nursing care across assigned caseload. Conducts rounds in homes and infirmary areas to assess health status, review clinical information, identify trends or emerging concerns, and determine compliance with treatment plans, policies, procedures, nursing standards, and quality-of-care expectations. Completes comprehensive assessments, develops and evaluates nursing interventions and care plans, monitors and reviews case management plans and health indicators, and initiates follow-up for changes in condition, abnormal findings, medication or treatment concerns, and other clinical needs. Coordinates care with the IDT, LARs, direct care staff, nursing staff, and health care providers to support continuity of care, treatment decisions, and person-centered services. Supports admissions, transfers, medical appointments, specialized clinics, training, quality assurance reviews, policy and procedure improvement, and specialized nursing activities. Provides leadership, training, coaching, and technical assistance to nursing and direct care staff. Provides hands-on nursing care and performs highly complex and technical nursing tasks as needed. Performs related work as assigned. Works under limited supervision with considerable latitude for initiative and independent judgment. Starting salary for this position: $ 7,532.75 This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Performs highly complex nursing case management for assigned individuals, including those with highly specialized medical and behavioral health needs. Develops, evaluates, and monitors nursing interventions to ensure treatment plans, policies, procedures, nursing standards, and quality-of-care expectations are followed. Conducts rounds in assigned homes and infirmary areas to assess health status, gather information from staff, identify trends or emerging concerns, and determine needed follow-up. Reviews and monitors health indicators, care plans, and clinical records, including vital signs, weight, nutrition, symptoms, medication refusals, injuries, seizures, bowel movements, labs, consults, hospital or infirmary status, IHCPs, acute care plans, DSP instructions, physician orders, MARs, treatment records, incident reports, preventive screenings, immunizations, EKGs, psychotropic medication monitoring, and other recurring health requirements. Uses nursing judgment to identify desired effects, side effects, contraindications, adverse reactions, and clinical trends. Evaluates outcome, communicates concerns to the PCP and IDT and initiates appropriate follow-up. Monitors meal and medication administration at least quarterly and documents observations in the electronic health record. For individuals at medium or high risk for choking or aspiration, conducts meal monitoring at least monthly and documents observations related to condition, signs of illness, pain, coughing, swallowing difficulty, positioning, dining plan use, medication administration technique, and pill texture when applicable. Responds to chronic and acute health care concerns, facilitates treatment and follow-up, communicates with the PCP, LAR, health care team, and IDT, participates in specialized clinics and consultations, provides assessment and feedback related to medical or leisure trips, completes post-hospitalization ISPA and follow-up care, maintains required training, and reports concerns to the CNE/NOO. Performs comprehensive and highly complex physical assessments on a quarterly, annual, and as-needed basis in accordance with training and facility protocols. Completes head-to-toe assessments, nursing reviews, annual assessments, SAMs, fall risk assessments, risk ratings, health care plan recommendations, DSP instructions, and related documentation within required timeframes. Reviews current medical assessments, labs, consults, immunizations, diagnostic testing, meal monitoring records, medication administration observations, suction tooth brushing monitoring, and other required assessments. Conducts appropriate screenings, recognizes signs and symptoms of illness or injury, identifies abnormal findings, determines when referrals or plan changes are needed, develops acute care plans and integrated health care plans, communicates findings to the IDT, and evaluates diagnostic information within the RN scope of practice. Monitors assessment completed by others to ensures care provide is in compliance with policies, procedures, standards of care and quality of service. Actively participates as the nursing expert on the individual’s interdisciplinary team (IDT), supporting proactive problem solving related to quality of care, nursing processes, and health-related concerns. Consults with and educates IDT members, the Legally Authorized Representative (LAR), the individual, and other medical care providers about the individual’s health care plan and status. Works to achieve consensus, coordinates with providers and staff to support continuity of care, and advocates for the individual’s needs and preferences. Analyzes data, evaluates nursing intervention outcomes, and provides input to the IDT to support assessment of the treatment plan. Participates in other required and assigned meetings related to individuals on the caseload, including unit, morning, IDT, ISPA, ISP, psychiatric, CLDP, admissions, critical incident, RCA, transition, committee, daily morning medical, and Incident Management Review Team (IMRT) meetings, or provides information to a designee when assigned. Attends prepared to discuss assessments, documentation, consults, labs, clinic issues, medications, weights, diet, screenings, IHCP goals and interventions, change-of-status needs, tracking and trending information, follow-up needs, risk ratings, care plans, and recommendations. Follows local SSLC policies and protocols to ensure pertinent information, including diagnoses and treatment plans, is clearly communicated to SSLC staff and, when instructed, to guardians or LARs. Coordinates, organizes and leads the nursing team for the individuals on the assigned caseload. Leads and instructs assigning nursing staff on how to best care for the individual. Develops inservice training and health education strategies related to the assigned individuals. Attends daily medical and other meetings to keep abreast of individuals’ health status. Actively participates in, and prepares for in advance, essential meetings related to the individuals on the assigned caseload to manage and coordinate health care. During morning meetings, reports relevant information from 24-hour reports, home shift logs, health concerns, clinic logs, hospital or infirmary status, medical appointments, laboratory appointments, restraints, medication or treatment refusals, injuries, falls, missed or cancelled appointments, and significant medical issues. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Conducts quality assurance reviews and specialized activities related to the development, evaluation, enhancement, and refinement of nursing policy, procedure, and operations. Reviews nursing practices to determine compliance with state and federal laws, regulations, standards, and campus requirements and to improve the quality of nursing care. Develops, evaluates, revises, and explains policies, procedures and protocols related to nursing case management. Assists in developing guidelines for the RNCM position. Makes recommendations to the CNE/NOO on how to improve case management processes to ensure quality services for individuals. Makes recommendations to nursing leadership and participates in nursing program planning, evaluation, workgroups, and committees as assigned. Attends on-campus medical appointments, treatments, or clinics with individuals as assigned and off-campus appointments when needed to coordinate continuity of care. Prepares and communicates relevant nursing and medical information, follows up on recommendations, orders, and plan changes, completes required nursing notes or provider communication, supports emergency room, hospital, transfer, and placement communication, and coordinates family or guardian notification and required consents for consults, procedures, vaccinations, psychotropic medications, pre-treatment sedation, and other care needs. Determines when pre-treatment sedation may be needed for diagnostic tests or appointments and communicates with the clinic nurse or appropriate clinical staff regarding the pre-treatment care plan. Obtains verbal consent with a nurse witness when permitted, ensures written consent is routed for original signature when required, and provides signed or verbal consent documentation to records staff for filing. Ensures admission and transfer planning occurs in accordance with policies, procedures, and nursing best practices. Coordinates admission activities by reviewing medical information, preparing physician order and vaccination consent information, completing baseline assessments and documentation, and participating in 30-day ISP preparation. Coordinates transfers to another unit, RNCM, SSLC, or group home by completing nurse-to-nurse reports, communicating pending labs, diagnostics, consults, IHCP/DSP instructions, immunizations, allergies, medications, recent assessments, and other health information needed for a safe transition. Participates in competency-based training, continuing education, and meetings to maintain competence in specialized nursing best practices, including safety, emergency procedures, CPR, infection control, confidentiality, information security, nursing case management, nursing care standards, state and federal laws, ICF/IID rules and regulations, and evidence-based practices. Provides or supports individual-specific training for DSPs, LVNs, home staff, and receiving providers related to allergies, medications, diagnoses, chronic or acute care plans, IHCP/DSP instructions, transfers, and other health supports. Develops, updates, reviews, and trains staff on DSP instructions. Serves as a nursing resource for case management and, as assigned, collaborates with others to create and deliver specialized training or in-service materials. Provides oversight, coaching, on-the-job training, and mentoring for junior or less experienced Registered Nurse Case Managers (RNCMs), Registered Nurses (RNs), and Licensed Vocational Nurses (LVNs) assigned to the care of individuals on the caseload to ensure individual health plans meet or exceed program compliance measures. Trains RNCMs, as assigned, and serves as a resource in performing their essential job functions. Reviews performance, supports skill development, identifies best practices in case management, and coaches staff on implementing those practices, including collaboration with other disciplines. Provides input to the supervisor regarding nursing practices, procedures, and staff development needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home, unit, or department, including coaching and monitoring services provided by LVNs. Acts as a preceptor for registered nurses, as assigned, and instructs new nurses on SSLC nursing functions, including acclimating them to individuals’ needs and preferences. Serves as RNCM Supervisor in their absence, as appointed. Completes, reviews, and maintains required nursing documentation according to daily, weekly, monthly, quarterly, annual, and event-driven schedules. Documentation includes plans of care, assessments, nursing notes, health summaries, referrals, acute care plans, change-of-status reviews, post-hospital assessments, medication refusal follow-up, post-injury reviews, treatment/SAM records, professional oversight logs, seizure and bowel movement records, transfer reports, ISP preparation, IHCP initiation, DSP instruction updates, training records, and tracking documents for weights, vitals, labs, consults, food intake, and follow-ups. Ensures documentation supports continuity of care, treatment decisions, regulatory compliance, and IDT planning and meets required deadlines. Trains and coaches others to effectively use the electronic health record. Communicates effectively, and provides consultation, training, and technical assistance to direct support professionals (DSPs) about individuals’ unique care needs. Instructs DSPs on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms. Answers questions from DSPs and other members of the treatment team, related to treatment or medication, within the scope of practice. Develops in-service training and health education strategies related to the assigned individual(s) when needed including signs and symptoms to observe for and report to a nurse. When warranted, instructs, counsels, and assists individuals in meeting their health care needs. As needed due to staffing, complex cases, or on-the-job training, provides direct care nursing services and performs highly complex and technical nursing tasks in accordance with HHSC, SSLC, and state requirements, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, and treatment for HHS employees injured in the course and scope of employment. Establishes and maintains professional working relationships with persons served, co-workers, supervisors, ancillary staff, and visitors. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Considerable knowledge of professional nursing theory, standards, procedures, and practices, including assessment, planning, implementation, coordination, documentation, and evaluation of nursing care. Knowledge of evidence-based nursing practices, medical diagnoses and procedures, accepted treatment practices, health care laws and regulations, ICF-IID requirements, SSLC policies and procedures, and program requirements for individuals with intellectual and developmental disabilities. Knowledge of emergency procedures and equipment, including CPR, infection control, Safe Use of Restraint, Ukeru, and related safety practices. Skill in providing nursing care and treatment for individuals with complex medical and behavioral health needs, monitoring health status, recognizing changes in condition, responding to emergencies, and documenting outcomes. Skill in using computers, software, and electronic health record or care documentation systems. Skill in organizing work, managing time, prioritizing competing duties, tracking follow-up, and meeting daily, weekly, monthly, quarterly, annual, and event-driven deadlines. Skill in training, coaching, mentoring, and providing technical assistance to nursing and direct care staff. Skill in communicating clinical information clearly and concisely, verbally and in writing, with individuals, families, guardians, LARs, the IDT, staff, and providers. Ability to prepare and maintain accurate nursing records, assessments, health summaries, care plans, referrals, tracking documents, and other documentation that supports continuity of care, treatment decisions, and compliance. Ability to monitor and review case management plans, IHCPs, DSP instructions, acute care plans, physician orders, treatment records, labs, consults, weights, nutrition, medication or meal observations, seizure records, bowel movement logs, and other recurring health indicators. Ability to complete and track recurring RNCM responsibilities, including assessments, chart reviews, care plan reviews, change-of-status documentation, consult follow-up, lab monitoring, immunization and consent follow-up, medication refusal follow-up, required screenings, and meeting preparation. Ability to identify clinical trends, abnormal findings, signs and symptoms of illness or injury, changes in condition, and needed nursing follow-up. Ability to coordinate care and communicate follow-up needs related to appointments, diagnostic testing, consents, hospital or infirmary status, consult recommendations, and changes in health status. Ability to work independently and productively with all levels of staff. Ability to interpret policies, procedures, standards, and health care regulations and communicate them effectively. Ability to perform comprehensive nursing assessments and evaluate diagnostic information within the RN scope of practice. Ability to analyze information, exercise nursing judgment, develop plans of care, evaluate outcomes, and make recommendations to the team. Ability to maintain current CPR certification and safely perform CPR, Safe Use of Restraint, and Ukeru techniques after training. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. 
$68,000 - $142,500 / year
Oncology nursing excellence is a central pillar in MD Anderson's worldwide reputation for cancer care. MD Anderson nurses are bright, motivated and caring. As a five-time Magnet Recognized hospital, we provide our patients with excellent oncology nursing care. Our nurses have access to multiple opportunities for reward and professional growth, while still being able to balance their work and personal lives. We value our nurses, treat them professionally and provide an environment where they can achieve the utmost job satisfaction. Our values are caring, integrity discovery, safety and stewardship. The ideal candidate will have a BSN Degree with at least two years of ICU and Medical/Surgical experience. This unit has both shifts available, 7am-7pm and 7pm-7am with rotating weekends and holidays. MD Anderson offers our nurses: Three 12 hour shifts per week, 1872 hours per year (minimum) $8,320 annual inpatient differential, paid $346.67 per paycheck Paid employee medical benefits (zero premium) starting on first day Minimum 24.5 days paid leave in first year (PTO & holidays) Tuition Assistance Program Teacher's Retirement System defined-benefit pension plan Employer paid short-term disability, life & accidental death insurance Certification pay and State of Texas longevity pay No State income tax Relocation assistance The Nursing Resource Pool (NRP) provides excellent opportunities for experienced Oncology nurses to work in a friendly, team-oriented environment. We assist the hospital to fill staffing needs to each unit as assessed on a shift to shift basis. With a continuous change in census and acuity throughout the hospital, the NRP staff is flexible and is trained to provide safe, effective, patient and family- centered care. We treat a multiple range of patients and enjoy the variety of working in different settings. Forty-two percent of NRP registered nurses are OCN-certified. NRP nurses also hold certifications in pediatric oncology, pain management, critical care, radiology and medical-surgical. MD Anderson is among 1% of hospitals nationwide who have earned five consecutive Magnet Recognition Program® designations from the American Nurses Credentialing Center. Our nursing community transforms nursing care through clinical practice, education and research. Each day, more than 4,400 registered nurses deliver compassionate, evidence-based cancer care to patients and their families. Nurses in all areas of MD Anderson are integral members of interdisciplinary teams that are leading the way in setting standards for innovative cancer care, including advances in immunotherapy and personalized medicine. With one of the largest clinical trial programs in the world, MD Anderson offers a collaborative environment that empowers nurses to lead in the administration of research therapies and the required ongoing monitoring. As treatments become more complex, our nurses continue to develop and implement new discoveries. ESSENTIAL JOB FUNCTIONS: Accountable for the management and provision of patient care in assigned area. Assesses patient's needs for nursing care and multidisciplinary team. Collaborates with physicians, other services, patient and patient's family to plan care and evaluate outcomes. Improves practice by integrating results and theories of research studies. Participates in data collection for current studies. Demonstrates clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies. Documents care according to established standards. Accesses, inputs and retrieves information from computer systems. Assures continuity of care through appropriate discharge planning, patient education and coordination of services. Acts as a patient and family advocate in order to uphold patient rights. Trains, coaches and assists team members to ensure optimum patient care and efficient use of resources. EDUCATION Required: Graduation from an accredited school of professional nursing. Preferred: Bachelor's Degree Nursing. Work Experience Required: None LICENSES AND CERTIFICATIONS Required: RN - Registered Nurse - State Licensure Current State of Texas Professional Nursing license. Upon Hire and Required: ACLS - Advanced Cardiac Life Support Upon Hire and Required: PALS - Pediatric Advanced Life Support If working in the following department: Nrsg Post Anesthesia Care Unit (600160). Upon Hire Preferred: OCN - Oncology Nurse Certification Upon Hire Preferred: Certification in specialty practice area. Upon Hire OTHER REQUIREMENTS: All clinical nurses with less than one year of registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information Requisition ID: 180918 Employment Status: Full-Time Employee Status: Regular Work Week: Day/Evening, Evening/Night Minimum Salary: US Dollar (USD) 68,000 Midpoint Salary: US Dollar (USD) 105,200 Maximum Salary : US Dollar (USD) 142,500 FLSA: exempt and eligible for overtime, paid at a time and a half rate Fund Type: Hard Work Location: Onsite Pivotal Position: Yes Referral Bonus Available?: Yes Relocation Assistance Available?: Yes 
$68,000 - $142,500 / year
Clinical Nurse, Outpatient - Ambulatory Treatment Center (ATC) Position Summary The Ambulatory Treatment Center (ATC) Clinical Nurse demonstrates competence and competencies regarding all aspects of administering and monitoring systemic cancer therapies and other injectable infusions for adult patients in the Ambulatory Treatment Center. This role provides evidence-based direct patient care across the continuum to positively impact patient outcomes and collaborates with the interdisciplinary team to ensure high-quality care and appropriate use of resources. The ideal candidate will have infusion experience, with chemotherapy infusion experience preferred. Emergency Room (ER), Oncology Certified Nurse (OCN®) or Chemotherapy/Biotherapy certification is a plus. Shift/Schedule: Monday-Friday, 9:00 AM - 5:30 PM. Location: Northwest Houston Area Location - to include travel to ATC West Houston, ATC Woodlands, and/or ATC Main based on institutional needs. Salary: Minimum $68,000 - Midpoint $105,000 - Maximum $142,500 Salary Hourly breakdown: Minimum $32.69 - Midpoint $50.48 - Maximum $68.51 WHAT'S IN IT FOR YOU? Make a Global Impact: Be part of a world-renowned institution whose mission is to eliminate cancer locally and globally through cutting-edge patient care, research, and education. Specialized Infusion Experience: Gain and apply advanced skills in administering a wide range of systemic cancer therapies-including chemotherapy, immunotherapy, and clinical trial infusions-within a collaborative, interdisciplinary team. Professional Growth & Recognition: Work in a high acuity setting that values certification (OCN, Chemo/Biotherapy), supports ongoing education, and offers opportunities to develop expertise in oncology nursing and infusion therapy. Key Functions Infusions administered may include (but are not limited to) standard of care and research chemotherapy, targeted therapy, and immunotherapy, blood products, IVIG, growth factors, antibiotics, electrolytes, and hydration. Demonstrates excellent verbal and written communication skills. Has the ability to assess and educate patients and family/caregivers to ensure future care needs are met. Develops collaborative, professional relationships with physicians and all members of the heath care team. Perform other duties as assigned. Specific competencies include: IV insertion and venous access device management Accurate administration and monitoring of infusions via a variety of routes (oral, subcutaneous, intramuscular, intravenous) Performing an independent double-check for chemotherapy administration Safe handling and disposal of chemotherapy to minimize patient and staff exposure to hazardous drugs Continuous infusion pumps (connects and disconnects) Management of treatment related side effects and adverse reactions Minimizing the risk of infection among patients who are actually or potentially immunocompromised Knowledge needed to facilitate early detection of specific side effects that lead to effective self-management of the side effect when it does occur EDUCATION Required: Graduation from an accredited school of professional nursing. Preferred: Bachelor's Degree Nursing. Work Experience Preferred: Infusion experience as a Clinical Nurse, with chemotherapy infusion experience. LICENSES AND CERTIFICATIONS Required: RN - Registered Nurse - State Licensure Current State of Texas Professional Nursing license. Upon Hire and Required: BLS - Basic Life Support Upon Hire or Required: Cardiopulmonary Resuscitation (CPR) Upon Hire and Required: ACLS - Advanced Cardiac Life Support If working in the following department: ASC Post Anesthesia (600761). Upon Hire or Required: PALS - Pediatric Advanced Life Support If working in the following departments: ASC Post Anesthesia (600761) or Pedi - Child & Adolescent Center (113200). Upon Hire Preferred: OCN - Oncology Nurse Certification or Chemotherapy/Biotherapy certification. Certification in specialty practice area. Upon Hire OTHER REQUIREMENTS: All clinical nurses with less than one year of registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information Requisition ID: 182847 Employment Status: Full-Time Employee Status: Regular Work Week: Days Minimum Salary: US Dollar (USD) 68,000 Midpoint Salary: US Dollar (USD) 105,200 Maximum Salary : US Dollar (USD) 142,500 FLSA: exempt and eligible for overtime, paid at a time and a half rate Fund Type: Hard Work Location: Onsite Pivotal Position: Yes Referral Bonus Available?: Yes Relocation Assistance Available?: Yes 
$7,532.75 - $8,886.16 / month
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Registered Nurse Case Manager Job Title: Nurse III RNCM Agency: Health & Human Services Comm Department: Four Rivers - Nursing Posting Number: 19770 Closing Date: 11/03/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON Other Locations: Richmond MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The RN Case Manager performs highly complex professional nursing work for individuals at the SSLC, including individuals with highly specialized medical and behavioral health needs. Provides, evaluates, and coordinates nursing care across assigned caseload. Conducts rounds in homes and infirmary areas to assess health status, review clinical information, identify trends or emerging concerns, and determine compliance with treatment plans, policies, procedures, nursing standards, and quality-of-care expectations. Completes comprehensive assessments, develops and evaluates nursing interventions and care plans, monitors and reviews case management plans and health indicators, and initiates follow-up for changes in condition, abnormal findings, medication or treatment concerns, and other clinical needs. Coordinates care with the IDT, LARs, direct care staff, nursing staff, and health care providers to support continuity of care, treatment decisions, and person-centered services. Supports admissions, transfers, medical appointments, specialized clinics, training, quality assurance reviews, policy and procedure improvement, and specialized nursing activities. Provides leadership, training, coaching, and technical assistance to nursing and direct care staff. Provides hands-on nursing care and performs highly complex and technical nursing tasks as needed. Performs related work as assigned. Works under limited supervision with considerable latitude for initiative and independent judgment. Starting salary for this position: $ 7,532.75 This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Performs highly complex nursing case management for assigned individuals, including those with highly specialized medical and behavioral health needs. Develops, evaluates, and monitors nursing interventions to ensure treatment plans, policies, procedures, nursing standards, and quality-of-care expectations are followed. Conducts rounds in assigned homes and infirmary areas to assess health status, gather information from staff, identify trends or emerging concerns, and determine needed follow-up. Reviews and monitors health indicators, care plans, and clinical records, including vital signs, weight, nutrition, symptoms, medication refusals, injuries, seizures, bowel movements, labs, consults, hospital or infirmary status, IHCPs, acute care plans, DSP instructions, physician orders, MARs, treatment records, incident reports, preventive screenings, immunizations, EKGs, psychotropic medication monitoring, and other recurring health requirements. Uses nursing judgment to identify desired effects, side effects, contraindications, adverse reactions, and clinical trends. Evaluates outcome, communicates concerns to the PCP and IDT and initiates appropriate follow-up. Monitors meal and medication administration at least quarterly and documents observations in the electronic health record. For individuals at medium or high risk for choking or aspiration, conducts meal monitoring at least monthly and documents observations related to condition, signs of illness, pain, coughing, swallowing difficulty, positioning, dining plan use, medication administration technique, and pill texture when applicable. Responds to chronic and acute health care concerns, facilitates treatment and follow-up, communicates with the PCP, LAR, health care team, and IDT, participates in specialized clinics and consultations, provides assessment and feedback related to medical or leisure trips, completes post-hospitalization ISPA and follow-up care, maintains required training, and reports concerns to the CNE/NOO. Performs comprehensive and highly complex physical assessments on a quarterly, annual, and as-needed basis in accordance with training and facility protocols. Completes head-to-toe assessments, nursing reviews, annual assessments, SAMs, fall risk assessments, risk ratings, health care plan recommendations, DSP instructions, and related documentation within required timeframes. Reviews current medical assessments, labs, consults, immunizations, diagnostic testing, meal monitoring records, medication administration observations, suction tooth brushing monitoring, and other required assessments. Conducts appropriate screenings, recognizes signs and symptoms of illness or injury, identifies abnormal findings, determines when referrals or plan changes are needed, develops acute care plans and integrated health care plans, communicates findings to the IDT, and evaluates diagnostic information within the RN scope of practice. Monitors assessment completed by others to ensures care provide is in compliance with policies, procedures, standards of care and quality of service. Actively participates as the nursing expert on the individual’s interdisciplinary team (IDT), supporting proactive problem solving related to quality of care, nursing processes, and health-related concerns. Consults with and educates IDT members, the Legally Authorized Representative (LAR), the individual, and other medical care providers about the individual’s health care plan and status. Works to achieve consensus, coordinates with providers and staff to support continuity of care, and advocates for the individual’s needs and preferences. Analyzes data, evaluates nursing intervention outcomes, and provides input to the IDT to support assessment of the treatment plan. Participates in other required and assigned meetings related to individuals on the caseload, including unit, morning, IDT, ISPA, ISP, psychiatric, CLDP, admissions, critical incident, RCA, transition, committee, daily morning medical, and Incident Management Review Team (IMRT) meetings, or provides information to a designee when assigned. Attends prepared to discuss assessments, documentation, consults, labs, clinic issues, medications, weights, diet, screenings, IHCP goals and interventions, change-of-status needs, tracking and trending information, follow-up needs, risk ratings, care plans, and recommendations. Follows local SSLC policies and protocols to ensure pertinent information, including diagnoses and treatment plans, is clearly communicated to SSLC staff and, when instructed, to guardians or LARs. Coordinates, organizes and leads the nursing team for the individuals on the assigned caseload. Leads and instructs assigning nursing staff on how to best care for the individual. Develops inservice training and health education strategies related to the assigned individuals. Attends daily medical and other meetings to keep abreast of individuals’ health status. Actively participates in, and prepares for in advance, essential meetings related to the individuals on the assigned caseload to manage and coordinate health care. During morning meetings, reports relevant information from 24-hour reports, home shift logs, health concerns, clinic logs, hospital or infirmary status, medical appointments, laboratory appointments, restraints, medication or treatment refusals, injuries, falls, missed or cancelled appointments, and significant medical issues. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Conducts quality assurance reviews and specialized activities related to the development, evaluation, enhancement, and refinement of nursing policy, procedure, and operations. Reviews nursing practices to determine compliance with state and federal laws, regulations, standards, and campus requirements and to improve the quality of nursing care. Develops, evaluates, revises, and explains policies, procedures and protocols related to nursing case management. Assists in developing guidelines for the RNCM position. Makes recommendations to the CNE/NOO on how to improve case management processes to ensure quality services for individuals. Makes recommendations to nursing leadership and participates in nursing program planning, evaluation, workgroups, and committees as assigned. Attends on-campus medical appointments, treatments, or clinics with individuals as assigned and off-campus appointments when needed to coordinate continuity of care. Prepares and communicates relevant nursing and medical information, follows up on recommendations, orders, and plan changes, completes required nursing notes or provider communication, supports emergency room, hospital, transfer, and placement communication, and coordinates family or guardian notification and required consents for consults, procedures, vaccinations, psychotropic medications, pre-treatment sedation, and other care needs. Determines when pre-treatment sedation may be needed for diagnostic tests or appointments and communicates with the clinic nurse or appropriate clinical staff regarding the pre-treatment care plan. Obtains verbal consent with a nurse witness when permitted, ensures written consent is routed for original signature when required, and provides signed or verbal consent documentation to records staff for filing. Ensures admission and transfer planning occurs in accordance with policies, procedures, and nursing best practices. Coordinates admission activities by reviewing medical information, preparing physician order and vaccination consent information, completing baseline assessments and documentation, and participating in 30-day ISP preparation. Coordinates transfers to another unit, RNCM, SSLC, or group home by completing nurse-to-nurse reports, communicating pending labs, diagnostics, consults, IHCP/DSP instructions, immunizations, allergies, medications, recent assessments, and other health information needed for a safe transition. Participates in competency-based training, continuing education, and meetings to maintain competence in specialized nursing best practices, including safety, emergency procedures, CPR, infection control, confidentiality, information security, nursing case management, nursing care standards, state and federal laws, ICF/IID rules and regulations, and evidence-based practices. Provides or supports individual-specific training for DSPs, LVNs, home staff, and receiving providers related to allergies, medications, diagnoses, chronic or acute care plans, IHCP/DSP instructions, transfers, and other health supports. Develops, updates, reviews, and trains staff on DSP instructions. Serves as a nursing resource for case management and, as assigned, collaborates with others to create and deliver specialized training or in-service materials. Provides oversight, coaching, on-the-job training, and mentoring for junior or less experienced Registered Nurse Case Managers (RNCMs), Registered Nurses (RNs), and Licensed Vocational Nurses (LVNs) assigned to the care of individuals on the caseload to ensure individual health plans meet or exceed program compliance measures. Trains RNCMs, as assigned, and serves as a resource in performing their essential job functions. Reviews performance, supports skill development, identifies best practices in case management, and coaches staff on implementing those practices, including collaboration with other disciplines. Provides input to the supervisor regarding nursing practices, procedures, and staff development needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home, unit, or department, including coaching and monitoring services provided by LVNs. Acts as a preceptor for registered nurses, as assigned, and instructs new nurses on SSLC nursing functions, including acclimating them to individuals’ needs and preferences. Serves as RNCM Supervisor in their absence, as appointed. Completes, reviews, and maintains required nursing documentation according to daily, weekly, monthly, quarterly, annual, and event-driven schedules. Documentation includes plans of care, assessments, nursing notes, health summaries, referrals, acute care plans, change-of-status reviews, post-hospital assessments, medication refusal follow-up, post-injury reviews, treatment/SAM records, professional oversight logs, seizure and bowel movement records, transfer reports, ISP preparation, IHCP initiation, DSP instruction updates, training records, and tracking documents for weights, vitals, labs, consults, food intake, and follow-ups. Ensures documentation supports continuity of care, treatment decisions, regulatory compliance, and IDT planning and meets required deadlines. Trains and coaches others to effectively use the electronic health record. Communicates effectively, and provides consultation, training, and technical assistance to direct support professionals (DSPs) about individuals’ unique care needs. Instructs DSPs on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms. Answers questions from DSPs and other members of the treatment team, related to treatment or medication, within the scope of practice. Develops in-service training and health education strategies related to the assigned individual(s) when needed including signs and symptoms to observe for and report to a nurse. When warranted, instructs, counsels, and assists individuals in meeting their health care needs. As needed due to staffing, complex cases, or on-the-job training, provides direct care nursing services and performs highly complex and technical nursing tasks in accordance with HHSC, SSLC, and state requirements, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, and treatment for HHS employees injured in the course and scope of employment. Establishes and maintains professional working relationships with persons served, co-workers, supervisors, ancillary staff, and visitors. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Considerable knowledge of professional nursing theory, standards, procedures, and practices, including assessment, planning, implementation, coordination, documentation, and evaluation of nursing care. Knowledge of evidence-based nursing practices, medical diagnoses and procedures, accepted treatment practices, health care laws and regulations, ICF-IID requirements, SSLC policies and procedures, and program requirements for individuals with intellectual and developmental disabilities. Knowledge of emergency procedures and equipment, including CPR, infection control, Safe Use of Restraint, Ukeru, and related safety practices. Skill in providing nursing care and treatment for individuals with complex medical and behavioral health needs, monitoring health status, recognizing changes in condition, responding to emergencies, and documenting outcomes. Skill in using computers, software, and electronic health record or care documentation systems. Skill in organizing work, managing time, prioritizing competing duties, tracking follow-up, and meeting daily, weekly, monthly, quarterly, annual, and event-driven deadlines. Skill in training, coaching, mentoring, and providing technical assistance to nursing and direct care staff. Skill in communicating clinical information clearly and concisely, verbally and in writing, with individuals, families, guardians, LARs, the IDT, staff, and providers. Ability to prepare and maintain accurate nursing records, assessments, health summaries, care plans, referrals, tracking documents, and other documentation that supports continuity of care, treatment decisions, and compliance. Ability to monitor and review case management plans, IHCPs, DSP instructions, acute care plans, physician orders, treatment records, labs, consults, weights, nutrition, medication or meal observations, seizure records, bowel movement logs, and other recurring health indicators. Ability to complete and track recurring RNCM responsibilities, including assessments, chart reviews, care plan reviews, change-of-status documentation, consult follow-up, lab monitoring, immunization and consent follow-up, medication refusal follow-up, required screenings, and meeting preparation. Ability to identify clinical trends, abnormal findings, signs and symptoms of illness or injury, changes in condition, and needed nursing follow-up. Ability to coordinate care and communicate follow-up needs related to appointments, diagnostic testing, consents, hospital or infirmary status, consult recommendations, and changes in health status. Ability to work independently and productively with all levels of staff. Ability to interpret policies, procedures, standards, and health care regulations and communicate them effectively. Ability to perform comprehensive nursing assessments and evaluate diagnostic information within the RN scope of practice. Ability to analyze information, exercise nursing judgment, develop plans of care, evaluate outcomes, and make recommendations to the team. Ability to maintain current CPR certification and safely perform CPR, Safe Use of Restraint, and Ukeru techniques after training. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. 
Responsibilities • Provide attention to clients’ non-medical needs, including companionship and social engagement • Assist client with light housekeeping, meal preparation, and medication reminders • Establish communication and a professional relationship with clients, family members, and co-workers • Provide reliable care by being punctual and consistently covering shifts between the hours of 9am - 5pm. Must have reliable transportation. Benefits • Competitive pay $10-12/hr • Direct deposit • Paid orientation and ongoing training • Time-and-a-half pay for overtime and holidays • Flexible schedules and matching caregivers with nearby clients • Employee recognition programs $60,200 - $107,400 / year
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The ED RN Case Manager monitors real-time 'Admit, Discharge, Transfer' (ADT) notifications to provide proactive patient and provider outreach and discharge coordination to support optimal transitions of care. Actively supports ED discharge follow-up care utilizing approved clinical guidelines to transition and provide continuity of care for members to an appropriate next site of care in collaboration with the hospitals/physician team and available outpatient ecosystem resources (PCP, specialist, in-home care, etc.) If you are located in Pearland, TX, you will have the flexibility to work remotely* as you take on some tough challenges. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Undergraduate degree in Nursing degree Current, unrestricted Multistate Registered Nurse (RN) license 4+ years of diverse clinical experience caring for acutely ill patients with multiple disease conditions; knowledge of utilization management, quality improvement, and discharge planning Preferred Qualification: Emergency Department (ED) experience; managed care and/or case management experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
